Individual
ELMER OTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2 WESTBURY DR, SAINT CHARLES, MO 63301-2558
(636) 946-6376
(636) 946-6479
Mailing address
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520
(660) 665-1962
(660) 665-3989
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002375
MO
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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